- CMS: Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model
- Public Inspection: CMS: Medicare Program: Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction Model
- CMS: Secretarial Comments on the CBE's (Battelle Memorial Institute) 2024 Activities: Report to Congress and the Secretary of the Department of Health and Human Services
- HHS: Patient Protection and Affordable Care Act: Marketplace Integrity and Affordability
- HRSA Announces Action to Lower Out-of-Pocket Costs for Life-Saving Medications at Health Centers Nationwide
- Public Inspection: HHS: Patient Protection and Affordable Care Act: Marketplace Integrity and Affordability
- Increased Risk of Cyber Threats Against Healthcare and Public Health Sector
- Eight Hospitals Selected for First Cohort of Rural Hospital Stabilization Program
- Announcing the 2030 Census Disclosure Avoidance Research Program
- CMS: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2026 Rates; Requirements for Quality Programs; and Other Policy Changes; Correction
- CMS: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2026 Rates; Requirements for Quality Programs; and Other Policy Changes; Correction
- CMS: Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Correction
- CMS: Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Correction
- CMS: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026
- CMS: Medicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
Pennsylvania Title V Needs and Capacity Assessment Survey
The Pennsylvania Department of Health’s Bureau of Family Health is completing its Title V Five-Year Needs and Capacity Assessment. The assessment provides the opportunity to evaluate the health status of women, infants, children, adolescents, and children and youth with special health care needs in Pennsylvania, to identify priority health needs, and to guide state and local public health work over the next five years. The survey is for those who were not able to attend the in-person prioritization events to share input on potential priorities. Consider including the importance of oral health in responses. Complete the survey by November 14, 2019.
ADA Guideline Advises Against Antibiotics for Dental Pain
A new ADA guideline indicates that “antibiotics are not needed to manage most dental pain and intraoral swelling associated with pulpal and periapical infections.” The guideline advises against using antibiotics for most pulpal and periapical conditions and instead recommends only the use of dental treatment and, if needed, over-the-counter pain relievers. This guideline is part of larger efforts across the globe to prevent antibiotics from becoming ineffective in treating bacterial infections. Click here for more information.
Dissemination of Rural Health Research: A Toolkit
The Rural Health Research Gateway released a Dissemination of Rural Health Research Toolkit to help researchers develop appropriate, timely, accessible, and applicable products as well as social media campaigns to get the word out about their work. The toolkit provides descriptions for multiple modes of dissemination, including: policy briefs, fact sheets, infographics, journal publications, poster presentations, chartbooks, PowerPoint presentations, working papers and reports, and promotional products. The toolkit, which is free and downloadable, also includes a brief discussion on the purpose of each product, which product is appropriate given the topic and intended audience, and how to format and design each product. Effective examples are provided.
Trump Announces Pick for FDA Commissioner
President Trump last week announced that he intends to nominate Stephen Hahn, CMO of MD Anderson Cancer Center in Houston, to serve as FDA commissioner. In addition, Brett Giroir, assistant secretary for health at HHS, has replaced Ned Sharpless as FDA’s acting commissioner until a permanent commissioner is confirmed. (Source: Washington Post, 11/1)
CMS Delays Hospital Price Transparency Requirement
CMS has released a final rule to update Medicare’s Hospital Outpatient and Ambulatory Surgical Center Payment Systems for calendar year (CY) 2020. CMS in the final rule said it will continue to implement site-neutral payments and payment cuts under Medicare’s 340B Drug Discount Program, despite separate court rulings striking down the policies. However, CMS did not finalize a proposal to require all hospitals to publicize their payer-negotiated rates for certain services because officials said they are working to expand the requirement to also include health insurers. (Sources: HealthLeaders Media, 11/2; Wall Street Journal, 11/1)
November Marks National COPD Awareness Month
The Technical Assistance and Services Center (TASC), a program of the National Rural Health Resource Center, is pleased to announce a collection of resources for rural hospitals and provider-based rural health clinics to address disparities in COPD related care. This project was supported by the Federal Office of Rural Health Policy via the Fiscal Year 2018 Chronic Obstructive Pulmonary Disease (COPD) Supplemental Project.
Resources, Resources, Resources!
All of the resources from this project can be found on the TASC website. They include:
- The Rural Hospital Guide to Improving COPD
- The Rural COPD Podcast series
- Three webinars relating to COPD
Access the COPD section of the website by clicking here.
2019’s Fattest States in America + Diabetes Facts & Statistics – WalletHub Reports
With November being National Diabetes Awareness Month and Americans collectively spending nearly $200 billion per year on obesity-related health costs, the personal-finance website WalletHub released its report on 2019’s Fattest States in America as well as accompanying videos, along with interesting stats about diabetes in its Facts & Statistics infographic.
To determine which states contribute the most to America’s overweight and obesity problem, WalletHub compared the 50 states and the District of Columbia across 29 key metrics. They range from share of overweight and obese population to sugary-beverage consumption among adolescents to obesity-related health care costs.
HHS Request for Information: PreventionX
Health care for preventable non-communicable diseases, including heart disease and stroke, diabetes, and obesity costs the overall US healthcare system over $580 billion annually. More than 30 million Americans are now living with diabetes, 75 million are hypertensive, and nearly 40% of American adults are obese. There is need to transform chronic disease prevention in the US by identifying and scaling effective and innovative community-wide prevention strategies and increase financial investment in prevention. To help the U.S. Department of Health & Human Services (HHS) better understand the barriers to effective chronic disease prevention, email your responses to preventionx@hhs.gov, with the subject line “PreventionX RFI Comment” by December 13, 2019. Click here for more information..
Comments Requested: Rural Eligibility for FORHP Funding – EXTENDED to November 23
As part of an ongoing effort by the Federal Office of Rural Health Policy (FORHP) to assess the extent to which FORHP-administered grant programs align with the needs of rural communities, HRSA has published a Request for Information (RFI) soliciting public comment. Respondents are asked to comment on whether and how the eligibility criteria governing FORHP’s community-based grant programs affect rural communities’ ability to leverage grant funding through FORHP. RFI responses must be provided via email to RFIComments@hrsa.gov and must reference “Rural Health Grants Eligibility RFI” in the title. Submissions are due no later than 11:59 p.m. Eastern Time on November 23, 2019. HRSA will not accept hard-copy responses or other formats.
HHS Awards Grants for HIV/AIDS Care
The U.S. Department of Health and Human Services (HHS) has announced $2.27 billion in Ryan White HIV/AIDS Program grants were awarded to cities, counties, states, and local community-based organizations to support a comprehensive system of primary medical care, medication, and essential support services for people with HIV in the United States. The Ryan White HIV/AIDS Program (RWHAP), administered by the Health Resources and Services Administration’s HIV/AIDS Bureau, plays a leading role in the Administration’s new Ending the HIV Epidemic initiative. According to most recent data, there are more than 12,000 RWHAP clients who visited only rural providers. Of these, 85.5 percent were virally suppressed, meaning that HIV levels have an “undetectable” status following consistent use of daily antiretroviral therapy. Access the list of grantees here.